| NPI | 1912522087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.2002437) |
| 104100000X Social Worker (Licence: OH S.1700563) | |
| Enumeration Date | 2020-06-14 |
| Last Update Date | 2021-06-10 |